MedStudyCS Cards Pulm

About the MedStudy Internal Medicine Core Scripts Flash Cards and Core Scripts answer book pages
you will see here: These are the Core Scripts Flash Cards and answer book pages for the Pulmonary Medicine section of the product. The actual cards in the product measure 3 x 5 but may display at a different size on your screen depending on your computer/monitor settings. For each Flash Card in this presentation, you will see the front Script side first, followed immediately by the back Answer side of the card. Note on the Answer side that the number in the upper right corner corresponds to the number in the answer book where you will find the correct diagnosis and other information for the Script on the card. (The answer book pages are in the separate PDF file you downloaded.) Note also that the bar along the top of the card on the Answer side is in color whereas the bar on the Script side is not. These color bars identify which topic areas the Scripts cards fall into. There is a unique color for Pulmonary, Gastroenterology, Infectious Disease, etc. Since all the cards in this presentation are Pulmonary Medicine, the color bar will be the same for all. When you have the actual product with the full set of cards for all topics, the varied color bars enable you to sort your cards so you can focus your study and review by specific topic if you wish. But if you prefer instead to do a randomized review, you simply use your cards with the Script sides face-up and mix them up, which keeps the topic area of each card unknown until you turn it over. Now click here to begin reviewing the Pulmonary Medicine Core Scripts Flash Cards.
SCRIPT
A previously healthy patient with history of a troubled past and/or substance abuse presents with: Acute coma with stable BP RR pO2, pCO2 Miosis A-a gradient = normal The cause of the hypoxemia is ______________________. In conjunction with hypoxemia, miosis is a physical exam finding that suggests overdose of ______________________.
2011 MedStudy All Rights Reserved
ANSWER
429
The cause of the hypoxemia is ______________________. In conjunction with hypoxemia, miosis is a physical exam finding that suggests overdose of ______________________.
2011-2012 Edition Internal Medicine Core Scripts

MedStudy
SCRIPT
A previously healthy patient with no PMH presents with: Coughing and wheezing that begins approximately 1/2 hour after exercise and with exposure to cold air. Symptoms self-resolve within an hour. Spirometry: normal FEV1 and FVC Normal DLCO
What is the diagnosis?

ANSWER
430
Diagnosis is ______________________.

MedStudy
SCRIPT
A middle-aged smoker with a daily productive cough has the following spirometry: FEV1/FVC < 0.70 DLCO

ANSWER
431
Diagnosis is ______________________.

MedStudy
SCRIPT
A young smoker with exertional dyspnea and a productive cough has the following: FEV1/FVC < 0.70 Chest radiograph: bullous emphysema at the lung bases

ANSWER
432
Diagnosis is ______________________.

MedStudy
SCRIPT
A patient presents 2 years after a significant inhalation exposure to pool chemicals with: A chronic productive cough Sputum Gram stain: multiple gram-positive and -negative organisms Sputum culture: Proteus

ANSWER
433
Diagnosis is ______________________.

MedStudy
SCRIPT
A 30-year-old patient with PMH of recurrent sinusitis and pneumonia presents with: Chronic exertional dyspnea Cough with purulent sputum Sputum Gram stain: gram-positive cocci in clusters and gram-negative rods Sputum culture: S. aureus

ANSWER
434
Diagnosis is ______________________.

MedStudy
SCRIPT
A middle-aged patient who owns a parakeet presents with: Recurrent fever, cough, and dyspnea Chest radiograph: interstitial infiltrates CBC: Normal Sputum: no eosinophils

ANSWER
435
Diagnosis is ______________________.

MedStudy
SCRIPT
A foundry worker with a history of cough and egg-shell calcifications on chest radiograph presents with 3 months of: Weight loss Night sweats Productive cough Occasional hemoptysis Sputum: + acid-fast organisms Diagnosis is ______________________ associated with ______________________.
ANSWER
436
Diagnosis is ______________________ associated with ______________________.

MedStudy
SCRIPT
A middle-aged male with no PMH presents with: Progressive exertional dyspnea and dry cough Diffuse fine crackles Clubbing Chest CT: reticular opacities and honeycombing

ANSWER
437
Diagnosis is ______________________.

MedStudy
SCRIPT
A young healthy patient presents for a routine pre-employment physical: Intermittent cough for years Chest radiograph: significant hilar adenopathy with normal lungs TB skin test: non-reactive

ANSWER
438
Diagnosis is ______________________.

MedStudy
SCRIPT
A young, male smoker presents with: Bone pain Polyuria A spontaneous pneumothorax

ANSWER
439
Diagnosis is ______________________.

MedStudy
SCRIPT
A 40-year-old, premenopausal Caucasian female with a history of dyspnea presents with: A spontaneous pneumothorax A chylous pleural effusion Chest radiograph: diffuse honeycombing

ANSWER
440
Diagnosis is ______________________.

MedStudy
SCRIPT
A male presents with: Dyspnea Productive cough Occasional hemoptysis A nasal ulcer Hgb and Hct with normal MCV and MCHC U/A: + protein,+ RBCs, RBC casts CXR: cavitary lesions and nodules What is the diagnosis?
ANSWER
441
Diagnosis is ______________________.

MedStudy
SCRIPT
An asthmatic on montelukast develops: A chronic cough and dyspnea CBC: eosinophils U/A: + protein and RBC casts

ANSWER
442
Diagnosis is ______________________.

MedStudy
SCRIPT
A young male with intermittent, vague abdominal pain presents with: Cough Testicular pain and swelling + HBsAg

ANSWER
443
Diagnosis is ______________________.

MedStudy
SCRIPT
A young, male patient from a southern state, who frequently walks barefooted during the summers, presents with: Cough WBC (differential: eosinophils) CXR: migrating pulmonary infiltrates

ANSWER
444
Diagnosis is ______________________.

MedStudy
SCRIPT
A male patient, age 2040 years, presents with: Acute respiratory failure that requires intubation, with no obvious inciting cause CXR: diffuse alveolar and interstitial infiltrates Bronchoalveolar lavage: + eosinophils

ANSWER
445
Diagnosis is ______________________.

MedStudy
SCRIPT
A middle-aged, asthmatic female presents with: Intermittent cough and dyspnea CXR: diffuse alveolar infiltrates Bronchoalveolar lavage: + eosinophils

ANSWER
446
Diagnosis is ______________________.

MedStudy
SCRIPT
An asthmatic presents with: Asthma exacerbations every 2 months while on an inhaled long-acting beta-agonist and medium-dose inhaled corticosteroid Sputum: branching hyphae

ANSWER
447
Diagnosis is ______________________.

MedStudy
SCRIPT
A young patient with history of iron deficiency anemia presents with: Hemoptysis DLCO Normal serum creatinine U/A: no protein, red cells, or RBC casts

ANSWER
448
Diagnosis is ______________________.

MedStudy
SCRIPT
A healthy female presents with: Exertional syncope Large v waves, a loud P2, and a holosystolic murmur at LLSB

ANSWER
449
Diagnosis is ______________________.

MedStudy
SCRIPT
A patient with atrial fibrillation on warfarin is given piperacillintazobactam for 10 days to treat ascending cholangitis. he normal dose of warfarin is given, but the patients INR T increases.
What is the cause of the increase in the INR?

ANSWER
450
The cause is ______________________.

MedStudy
SCRIPT
A patient with history of bilateral hand and knee pain presents with: Dyspnea Pleural effusion Active synovitis of bilateral MCPs and PIPs Soft tissue nodular lesions over the olecranon bursa Pleural fluid glucose: < 30 mg/dL TB skin test: non-reactive

ANSWER
451
Diagnosis is ______________________.

MedStudy
SCRIPT
A young, healthy patient presents with: Fever Dyspnea Cough, productive of rust-colored sputum WBC (differential: neutrophils with band forms) CXR: lobar consolidation Sputum Gram stain: gram-positive, lancet-shaped, diplococci What is the diagnosis?
ANSWER
452
Diagnosis is ______________________.

MedStudy
SCRIPT
A male with HIV/AIDS with a CD4 count 300/L presents with: Fever Dyspnea Productive cough WBC (differential: neutrophils with band forms) CXR: lobar consolidation Sputum Gram stain: gram-negative coccobacilli Blood cultures grow the same organism. What is the diagnosis?
ANSWER
453
Diagnosis is ______________________.

MedStudy
SCRIPT
A college wrestler presents with: Fever Dyspnea Cough, productive of salmon-pink sputum WBC (differential: neutrophils with band forms) CXR: patchy alveolar consolidation with pneumatoceles Sputum Gram stain: gram-positive cocci in clusters

ANSWER
454
Diagnosis is ______________________.

MedStudy
SCRIPT
An elderly smoker with FEV1/FVC 0.35 presents with: F ever D yspnea W orsening cough C XR: lobar consolidation, in addition to chronic changes S putum Gram stain: + gram-negative cocci

ANSWER
455
Diagnosis is ______________________.

MedStudy
SCRIPT
Young female presents with: Fever Dyspnea Productive cough Pulmonary consolidation Erythema nodosum Hgb and Hct with I. bilirubin and reticulocytes + Coombs + Cold agglutinins What is the diagnosis?
ANSWER
456
Diagnosis is ______________________.

MedStudy
SCRIPT
A patient presents with: Sore throat for 7 days with gradual onset of low-grade fever, cough, and hoarseness Normal WBC CXR: patchy infiltrate

ANSWER
457
Diagnosis is ______________________.

MedStudy
SCRIPT
A healthy patient with a history of fever, dyspnea, and a productive cough is given empiric amoxicillin/clavulanic acid for audible pulmonary consolidation. He returns with: Severe dyspnea Persistent fever New diarrhea Confusion pO2 < 60 mmHg Serum Na+ < 140 mEq/dL What is the diagnosis?
ANSWER
458
Diagnosis is ______________________.

MedStudy
SCRIPT
A young patient returns from a visit to Arizona with: Cough Arthralgias

ANSWER
459
Diagnosis is ______________________.

MedStudy
SCRIPT
10 days after returning home from a spelunking adventure, a healthy patient with a well appearance develops: Cough Fever CXR: patchy infiltrates and hilar adenopathy

ANSWER
460
Diagnosis is ______________________.

MedStudy
SCRIPT
A non-smoking hunter from Alabama develops: An indolent productive cough CXR: mass-like lesion Sputum KOH: + broad-based budding yeasts

ANSWER
461
Diagnosis is ______________________.

MedStudy
SCRIPT
An alcoholic patient presents with: Weight loss Night sweats Chronic cough, productive of bloody, fetid, purulent material Pulmonary consolidation Halitosis

ANSWER
462
Diagnosis is ______________________.

MedStudy
SCRIPT
An elderly female with chronic cough and dyspnea presents with: Increased cough Night sweats Weight loss Unsuccessful sputum sampling because the patient swallows sputum CXR: patchy infiltrates and apical bullous disease CT chest: nodules and evidence of bronchiectasis BAL: + acid-fast organisms TB skin test: reactive to 8 mm What is the diagnosis?
ANSWER
463
Diagnosis is ______________________.

MedStudy
SCRIPT
A healthy, female patient presents with: An indolent, draining wound 10 days after vacationing in the Bahamas She is 4-weeks statuspost tummy tuck surgery.

ANSWER
464
Diagnosis is ______________________.

MedStudy
SCRIPT
A patient with HIV/AIDS and a CD4 count < 200/L presents with: Progressive exertional dyspnea Cough for 1 month Fever for 1 week CXR: diffuse interstitial infiltrates ABG: pO2 < 70

ANSWER
465
Diagnosis is ______________________.

MedStudy
SCRIPT
A patient with AML, undergoing bone marrow transplant, develops: Cough and dyspnea without fever CBC: absolute neutrophil count < 500/L for previous 14 days CXR: no acute changes HRCT: halo sign

ANSWER
466
Diagnosis is ______________________.

MedStudy
SCRIPT
A patient with PMH of treated cavitary tuberculosis presents with: Hemoptysis Weight loss CXR: obvious cavities with a mobile intracavitary lesion

ANSWER
467
Diagnosis is ______________________.

MedStudy
SCRIPT
A male patient with BMI > 30 presents complaining of: Dyspnea New lower extremity edema Serum HCO3

ANSWER
468
Diagnosis is ______________________.

MedStudy
SCRIPT
A non-smoking patient presents with 4 months of: Progressive, indolent cough, productive of frothy, salty sputum

ANSWER
469
Diagnosis is ______________________.

MedStudy
SCRIPT
A non-smoking female presents with: Intermittent cough with hemoptysis Long bone pain Clubbing Pain with palpation of the anterior tibias

ANSWER
470
Diagnosis is ______________________.

MedStudy

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About the MedStudy Internal Medicine Core Scripts Flash Cards and Core Scripts answer book pages

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

Diagnosis is ______________________ associated with ______________________.

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the cause of the increase in the INR?

The cause is ______________________.

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

2011-2012 Edition Internal Medicine Core Scripts

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

2011-2012 Edition Internal Medicine Core Scripts

A young patient returns from a visit to Arizona with:  Cough  Arthralgias

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

2011-2012 Edition Internal Medicine Core Scripts

What is the diagnosis?

Diagnosis is associated with .

A young patient returns from a visit to Arizona with: Cough Arthralgias